Activity, sedentary behaviour and risks in COPD

What are the effects of lifestyle?

In both the general population and in people with chronic disease, 2 distinct fields of research have developed to examine the impact of activity behaviours on health outcomes: physical activity research and sedentary behaviour research.

Physical activity is assessed on a continuum based on intensity level from engagement in light, moderate, vigorous and very vigorous activity.

Sedentary behaviour, instead, looks at the amount of time spent in activities at a low intensity of less than 1.5 metabolic equivalents (better known as METs) in a sitting or lying posture but not including sleep.

People with high physical activity and low sedentary behaviour had the best health outcomes.

Among people with COPD, adhering to physical activity guidelines and keeping leisure-based sitting time low had a mortality benefit and lowered the odds of developing diabetes. Physiotherapists should encourage people with COPD to adhere to activity recommendations and also consider whether sedentary behaviour could be reduced.

> From: McKeough et al., J Physiother 64 (2018) 114-120 . All rights reserved to the Australian Physiotherapy Association. Click here for the online summary.

Want to read deeper into this topic? Have a look at the free full text version of this article published in Journal of Physiotherapy!

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